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Yıl:2005; Cilt: 2; Sayı: 3>> Özet
Adli Psikiyatri Dergisi; 2005;2(3):17-21
İki Olgu Nedeniyle Paylaşılmış Psikotik Bozukluk
G Cantürk, S Aliustaoğlu, Y Ergezer, G Oral
Ankara Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı, Cebeci-Ankara
Paylaşılmış psikotik bozukluk (PPB), nadir görülen ve “folie a deux” olarak ta adlandırılan bir bozukluktur. O sırada yerleşik bir hezeyanı olan başka bir kişi ya da kişilerle yakın ilişki çerçevesindeki bir bireyde hezeyan gelişmesi olarak tanımlanır. Bu psikiyatrik bozukluk, hezeyanların bir bireyden diğerine aktarılması ile karakterizedir. Kişiler uzun zamandır birbirleriyle yakın ilişkide olan ve tipik olarak nispeten sosyal izolasyon halinde birlikte yaşamaktadır. Bu bozukluk DSM-IV-TR'de paylaşılmış psikotik bozukluk olarak adlandırılır ve sıklıkla biri dominant (aktif), diğeri pasif iki kişide görülür. İkiden fazla kişiden oluşan vakalar üçlü, dörtlü, beşli delilik olarak adlandırılmaktadır. Bu çalışmada sunulan iki ayrı paylaşılmış psikotik bozukluk olgusundan birinde “Resmi Mercileri İğfal”, diğerleri “Cinayet” suçu nedeniyle ceza ehliyetleri olup olmadığı açısından değerlendirilmek üzere Adli Tıp Kurumu Dördüncü Adli Tıp İhtisas Kuruluna gönderilen olgular, incelenerek nadir görülen ve teşhisi güç olan bu bozukluğa adli makamların ve diğer ilgililerin dikkatlerinin çekilmesi amaçlanmıştır.

In Connection With Two Cases; Shared Psychotic Disorder
Shared psychotic disorder, perhaps better known as “folie à deux”, is rare. A delusion develops in an individual in the context of a close relationship with another person(s), who has an already-established delusion. The disorder is characterized by the transfer of delusions from one person to another. Both persons are closely associated for a long time and typically live together in relative social isolation. This disorder is called ‘shared psychotic disorder' in DSM-IV and most commonly involves two people, a dominant and a submissive one, the patient with shared psychotic disorder. Cases involving more than two individuals have been called folie a trois, a quatre, a cinq, and so on. The cases to be presented have been admitted by the Institute of Forensic Medicine, 4th Specialized Board (Department of Forensic Psychiatry) with the one of them claim of “Hindering the Juridical Authorities” and the others claim of “Homicide” in order to determine if they had criminal responsibilities. With the presentation of these cases, we aimed to draw attention of relevant people and organs to the subject since the Shared Psychotic Disorder (Folie à deux) occurs rarely, its prevalence in juridical cases is not known and it is hard to diagnose.

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